Doctor Name: | KATHERINE RENEE PICKENS |
NPI Number: | 1992988679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CAADC |
License Number: | 6401006766 |
Business Practice Address: | 29400 Van Dyke Ave Suite #106 Warren, MI - 480932320 |
Business Phone Number: | 3132131754 |
Business Fax Number: | |
Mailing Address: | 46545 Beau Jardin Dr, MACOMB |
State: | MI |
Postal Code: | 480443615 |
Phone Number: | 3132131754 |
Fax Number: | |
NPI Enumeration Date: | 12/17/2007 |
NPI Last Update Date: | 11/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 6401006766 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |